Organization
AMANDA E. MITCHELL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MITCHELL LCPC (OWNER/PSYCHOTHERAPIST)
(773) 850-9046
Entity
Organization
Contact information
Practice address
3806 W IRVING PARK RD # STORE, CHICAGO, IL 60618-3139
(773) 850-9046
Mailing address
3806 W IRVING PARK RD # STORE, CHICAGO, IL 60618-3139
(773) 850-9046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009317
IL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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